EmailMe Form - BHC Student Trustee Application

Today's Date *

MM / DD / YYYY

Your Full Name *

First Last

Your Email *

Which Campus do you Attend? *

Quad Cities Campus

East Campus

Student ID Number *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Phone *

### - ### - ####

Major *

Credit Hours Completed *

Cumulative GPA *

Expected Graduation Date *

Planning to Transfer? *

Yes

No

Have you been involved in extra-curricular activities (H.S. or college)? Please list. *

Have you done any community service or volunteer work? Please list. *

What are your career goals? *

Why do you want to be Student Trustee for the 2023-2024 academic year? *

What experiences and ideas can you bring to the Student Trustee position? *